Management of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding

Summary:. Infected breast implants during lactation present a rare but challenging clinical scenario that may result in early cessation of breastfeeding and unnecessary morbidity to mother and infant. We present the case of a 39-year-old African American primigravid woman with a history of bilateral...

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Autores principales:	Hannah Kornfeld, MD, Arianne Johnson, PhD, Marc Soares, MD, FACS, Katrina Mitchell, MD, FACS, IBCLC
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/289e70e85be34f97b4f0f9f5979d1963
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spelling	oai:doaj.org-article:289e70e85be34f97b4f0f9f5979d19632021-11-25T07:58:04ZManagement of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding2169-757410.1097/GOX.0000000000003943https://doaj.org/article/289e70e85be34f97b4f0f9f5979d19632021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003943https://doaj.org/toc/2169-7574Summary:. Infected breast implants during lactation present a rare but challenging clinical scenario that may result in early cessation of breastfeeding and unnecessary morbidity to mother and infant. We present the case of a 39-year-old African American primigravid woman with a history of bilateral retropectoral textured implants placed three years prior. Five days after delivering a healthy, full-term infant via cesarean section, she sought evaluation for nipple pain and trauma. She was instructed to use a nipple shield and pump every 2–3 hours in addition to breastfeeding, which resulted in iatrogenic hyperlactation. One week postpartum, the patient was started on antibiotics for presumed mastitis. Ultrasound demonstrated a complex fluid collection at the 12 o’clock periareolar position, as well as peri-implant fluid. She subsequently underwent aspirations of a periareolar complex galactocele and aspirations of peri-implant fluid. She continued on antibiotics without improvement. The patient proceeded to implant removal and definitive drainage of the galactocele at four months postpartum. Throughout her course, the patient provided her infant with exclusive breastmilk, including breastfeeding in the perioperative area of the operating room. This case demonstrates an example of safe surgical removal of infected breast implants and management of an infected galactocele without interruption of breastfeeding.Hannah Kornfeld, MDArianne Johnson, PhDMarc Soares, MD, FACSKatrina Mitchell, MD, FACS, IBCLCWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3943 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Hannah Kornfeld, MD Arianne Johnson, PhD Marc Soares, MD, FACS Katrina Mitchell, MD, FACS, IBCLC Management of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding
description	Summary:. Infected breast implants during lactation present a rare but challenging clinical scenario that may result in early cessation of breastfeeding and unnecessary morbidity to mother and infant. We present the case of a 39-year-old African American primigravid woman with a history of bilateral retropectoral textured implants placed three years prior. Five days after delivering a healthy, full-term infant via cesarean section, she sought evaluation for nipple pain and trauma. She was instructed to use a nipple shield and pump every 2–3 hours in addition to breastfeeding, which resulted in iatrogenic hyperlactation. One week postpartum, the patient was started on antibiotics for presumed mastitis. Ultrasound demonstrated a complex fluid collection at the 12 o’clock periareolar position, as well as peri-implant fluid. She subsequently underwent aspirations of a periareolar complex galactocele and aspirations of peri-implant fluid. She continued on antibiotics without improvement. The patient proceeded to implant removal and definitive drainage of the galactocele at four months postpartum. Throughout her course, the patient provided her infant with exclusive breastmilk, including breastfeeding in the perioperative area of the operating room. This case demonstrates an example of safe surgical removal of infected breast implants and management of an infected galactocele without interruption of breastfeeding.
format	article
author	Hannah Kornfeld, MD Arianne Johnson, PhD Marc Soares, MD, FACS Katrina Mitchell, MD, FACS, IBCLC
author_facet	Hannah Kornfeld, MD Arianne Johnson, PhD Marc Soares, MD, FACS Katrina Mitchell, MD, FACS, IBCLC
author_sort	Hannah Kornfeld, MD
title	Management of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding
title_short	Management of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding
title_full	Management of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding
title_fullStr	Management of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding
title_full_unstemmed	Management of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding
title_sort	management of infected galactocele and breast implant with uninterrupted breastfeeding
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/289e70e85be34f97b4f0f9f5979d1963
work_keys_str_mv	AT hannahkornfeldmd managementofinfectedgalactoceleandbreastimplantwithuninterruptedbreastfeeding AT ariannejohnsonphd managementofinfectedgalactoceleandbreastimplantwithuninterruptedbreastfeeding AT marcsoaresmdfacs managementofinfectedgalactoceleandbreastimplantwithuninterruptedbreastfeeding AT katrinamitchellmdfacsibclc managementofinfectedgalactoceleandbreastimplantwithuninterruptedbreastfeeding
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Management of Infected Galactocele and Breast Implant with Uninterrupted Breastfeeding

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